institution
Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Wilson, North Carolina
NPI 1679627350

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Life, Inc. practices in Wilson, NC. The NPI Number for Life, Inc. is 1679627350 and holds a License No. MHL-098-012 (North Carolina).

The current practice location address for Life, Inc. is 5910 Farmwood Loop, Wilson, NC and can be reached out via phone at 252-291-9647 and via fax at 252-291-0812. You can also correspond with Life, Inc. through the mailing address at 2609 ROYALL AVE, GOLDSBORO, NC - 27534-8615 (mailing address contact number: 919-778-1900).

Location: 5910 Farmwood Loop, Wilson, NC, 27534-8615
institution
Provider Profile Details
NPI Number
1679627350
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
5910 Farmwood Loop, Wilson, NC, 27534-8615
Phone Number
252-291-9647
Fax Number
252-291-0812
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340603U 05 NC
922202 01 NC STATE FACILITY ID
institution
Provider Business Practice Location Address Details
Address
5910 Farmwood Loop
City
State
Zip
27896-8007
Phone Number
252-291-9647
Fax Number
252-291-0812
person
Provider Business Mailing Address Details
Address
2609 Royall Ave
City
State
Zip
27534-8615
Phone Number
919-778-1900
Fax Number
919-778-1900
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
MHL-098-012 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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